Question 1
A nurse who works at an outpatient mental health clinic follows numerous clients
who have schizophrenia, many of whom are being treated with olanzapine
(Zyprexa). Which of the following clients likely has the highest susceptibility to
the adverse effects of olanzapine?
A.
A client who is morbidly obese and who has a sedentary lifestyle
B.
A client who was recently treated with intravenous antibiotics because of cellulitis
in his lower leg
C.
A client who has a body mass index of 16.5 (underweight) and who smokes one
pack of cigarettes daily
D.
A client who has type 1 diabetes and who practices poor glycemic control
1 points
Question 2
A nurse will be prepared to administer naloxone (Narcan) to a patient who has had
an overdose of morphine. Repeated doses of Narcan will be necessary because
Narcan
A.
has a shorter half-life than morphine.
B.
causes the respiratory rate to decrease.
, C.
combined with morphine, increases the physiologic action of the morphine.
D.
has less strength in each dose than do individual doses of morphine.
1 points
Question 3
A nurse is providing care for a patient who suffered extensive burns to his
extremities during a recent industrial accident. Topical lidocaine gel has been
ordered to be applied to the surfaces of all his burns in order to achieve adequate
pain control. When considering this order, the nurse should be aware that
A.
intravenous lidocaine may be preferable to topical application.
B.
pain relief is unlikely to be achieved due to the destruction of nerve endings in the
burn site.
C.
there is a risk of systemic absorption of the lidocaine through the patient's
traumatized skin.
D.
lidocaine must be potentiated with another anesthetic in order to achieve pain
control.
1 points
Question 4
A patient has been hospitalized for treatment of substance abuse after being
arrested and jailed for the past 24 hours. The patient is experiencing severe muscle
and abdominal cramps, seizures, and acute psychosis due to abrupt withdrawal.
Which of the following drug classes is the most likely cause of these severe and
potentially fatal withdrawal symptoms?
A.
Amphetamines
B.
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